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Chapter 1118 Embarrassment



Chapter 1118 Embarrassment

本章是为了感谢书友“杏子猫咪”和书友“易行空”在2021年04月30日和2019年3月31日所捐献的全血而加更。之后还有一章为“易行空”加更的章节。

The doctors in the audience asked questions very actively.Everyone's attitude is also very clear - we have studied the risks of using tocilizumab, and what we want to know is how Director Sun Lien and your treatment team avoided such risks.

While answering the question, Sun Lien secretly rejoiced in his heart, thanks to the fact that he had written a paper in advance, and thanks to the fact that he had summarized and analyzed a large amount of data in order to ensure the smooth publication of the paper.Otherwise, he might not really be able to answer these questions.

Of course, although tocilizumab itself is considered an "old drug", it is an obvious over-the-range drug used to combat the inflammatory storm caused by the new coronavirus infection pneumonia.When Sun Lien answered the question, he almost turned the reminder of "paying attention to relevant legal risks" into a mantra.

Although strictly speaking, Sun Li'en is now leading a team to see people in the Yunhe City Infectious Disease Hospital, even if it is beyond the scope of medical treatment, it is essentially a violation of the regulations... But the medicine beyond the scope is not the same.

The lecture itself lasted only half an hour, while Sun Lien's question-and-answer session lasted an hour and a half.There are so many questions that everyone needs to be answered, from the dosage of different patients to adverse reactions, from injection methods to other inspection indicators that need to be monitored... Sun Lien's mouth was dry and he didn't dare to take off his mask in the end drink saliva.

After persisting for two hours, the meeting was considered over.Outside the conference room, Sun Li'en dragged his tired body and said to Zhang Zhifu, "It's not an option to go on like this...Professor Zhang, don't you think it's convenient for Fang to discuss with other relevant departments and push tocilizumab away from use?"

"It's impossible to push it away, at least not now." Zhang Zhifu shook his head and said, "This is what I plan to do now, as long as the patients who need tocilizumab are treated, they are all patients in your group in name. Anyway, let other doctors do the specific operations, and it won’t increase your work pressure much.” He stared at Sun Lien, and after a few seconds of silence, he said, “We mobilized the first case of pneumonia patients infected by the new coronavirus in the early hours of this morning. Autopsy."

Sun Li'en didn't understand what Zhang Zhifu was talking about at first, but after a few seconds, he suddenly jumped up, "What's the result?"

"Professor Liu from the Forensic Medicine Department of Yunhe University is still in the process of perfecting the results, and the results should come out within a day or two." Zhang Zhifu said, "We are still preparing to mobilize the autopsy, and the goal is to mobilize about five to ten cases within a week. .”

The number of patients currently admitted to the Yunhe City Infectious Disease Hospital is about 545, and all of them are severe and critically ill.Except for the North Fifth District, the death rate of critically ill patients in infectious disease hospitals is still relatively high.

That's why it is possible to mobilize the remains for autopsy, and that's why these doctors are anxious to master the specific use of tocilizumab triple therapy.

Sun Lien sighed, he suddenly didn't know what he should say.

"The task of mobilizing the autopsy has been distributed to every department—as long as there is a patient who died unfortunately in the department, we will contact the patient's family to mobilize the autopsy." Zhang Zhifu also sighed, "If you can't do this , then I'll do it."

"This..." Sun Li'en opened his mouth, shook his head after a while and said, "I really haven't done it before, if there is a need... I will come to you again at that time."

Professor Zhang Zhifu is different from other members of the medical team.He was literally in the hospital almost 24 hours a day.As long as there is a need, come to the dean's office to find him.

Sun Li'en walked upstairs slowly, hoping...that there was no time to look for Zhang Zhifu.

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Guan Guxue is breastfeeding her child. This is the first time Zhao Hean has had breast milk from her mother since she was born.

The child's condition is still not very good, and his small body is very hot.Guan Guxue held her child in her arms, feeling the high temperature coming from his body, and kept crying with distress.

Zhao Jian tried his best to comfort his wife, "Look, this kid has a lot of energy in breastfeeding. Don't worry, he will get better."

Guan Guxue's sadness didn't get better because of her husband's comfort, but it still improved somewhat.She looked at the nursing child, felt the little life sucking hard to survive, and secretly cheered for the child in her heart.

Come on, eat two more bites.Eat more, always better.

Since the birth of the child, in order to prevent mastitis and lumps caused by blocked milk ducts, Guan Guxue has been insisting on using a breast pump to suck out breast milk and storing the breast milk in a freezer.During her prenatal checkup, she heard from the doctor that the baby's immunity will be stronger if she breastfeeds.But for such a long time, what should I do with the breast milk that has already filled a freezer... Guan Guxue has no idea.

"Ms. Guan?" Qian Hongjun knocked on the door, "Is it convenient to come in now?"

"The child is breastfeeding, please wait a moment." Zhao Jian reacted quickly. He covered his wife who was half sitting on the bed with a curtain, then took two quick steps to open the door, and then showed Qian Hongjun outside the door. He smiled, "Hello, Doctor Qian."

"I'm disturbing the children's meal." Qian Hongjun entered the room with his head down, and closed the door behind him, "I'm here this time... I have a request." He kept his head down, protecting himself He took off the small satchel hanging outside his clothes.

This small satchel made of blue non-woven fabric is a masterpiece of patients with mild symptoms in the North Sixth District.Since medical staff must wear protective clothing when entering the red zone, there are obviously no pockets on the protective clothing for doctors to use.In order to facilitate the daily work of doctors and nurses, patients in North Sixth District made a large number of small satchels with staplers, non-woven fabrics and needles and threads and gave them to doctors and nurses.

Qian Hongjun took out a few printed sheets of white paper and a pen from his small satchel, handed them to Zhao Jian, and said, "I remember that Ms. Guan has been using breast pumps and refrigerators to store breast milk since the child was born, right?" ?Although the child is able to breastfeed now, the breast milk of the previous month or so may contain the new coronavirus, so my personal suggestion is not to feed the child any more." He paused, "But... these Breast milk may contain antibodies against the new coronavirus, which will be very helpful for our research."

He lowered his head, pointed to the paper in Zhao Jian's hand and said, "This is a donation consent form—if possible, I hope you can donate the breast milk frozen in the refrigerator to us."

This request... is actually a bit sudden and possibly overwhelming.After all, breast milk itself is a product with personal privacy attributes.But Guan Guxue didn't hesitate at all, she agreed to the request almost immediately, "It would be great if these things can come in handy, I was still worrying about what to do with this refrigerator milk just now!"

Turning to North Fifth District, Dr. Bruen, who was the Ward Supervisor when Sun Lien left, was sitting in the nurse's station in the Green District and talking on the phone.

"Hey, Bernard, listen to me..." Dr. Brunn said to the person on the other end of the phone in English while shrugging his shoulders and trying to block the voice that leaked from the phone, "I just found out that you are How is Yunhe? I just wanted to see if I could help you..."

"No, no, no, I don't care if you have learned how to make Liangpi in a few days, or learned twelve ways to roast pork knuckles... I feel disgusted when I mention pork knuckles now." Bu Lu En took a deep breath and said, "Your license is an American license, and I have no way to let you join the treatment team as a doctor. If you really want to do something for the epidemic, my suggestion is that you'd better Go straight back home and continue working as a doctor in the US."

"Yes, we are short of manpower. If you come as a volunteer, I strongly welcome." Bruen muttered, "But I can't let you join the treatment team as a doctor, it's against the law ! To practice medicine in China, you must have a medical practitioner qualification certificate issued and recognized by the Chinese government!"

Brun's voice was a little loud, and Sun Lien, who had just come out of the elevator, captured the word "qualification certificate" very accurately.This surprised him a little.

As experts in China, the licenses of both Dr. Brunn and Dr. Pascal are currently implemented in accordance with the "Interim Measures for the Administration of Foreign Physicians Coming to China for Short-term Medical Practice".Their licenses were applied by the Fourth Central Hospital to the Song'an Provincial Health Commission, and were issued after being reviewed and approved by the Song'an Provincial Health Commission.Both licenses are valid within one year, and they need to reapply after the expiration.

Both Dr. Pascal and Dr. Brunn are currently applying for naturalization as Chinese nationals. According to relevant regulations, they must wait until the application is successful before they can take the examination for the qualification of medical practitioners according to the normal process and finally obtain the qualification certificate of medical practitioners.Of course, according to the "Administrative Measures for Foreign Physicians Practicing Medicine in China" that was just announced this year and is still in the stage of soliciting opinions, qualified foreign doctors can also apply.

However, judging from the current application progress, Dr. Pascal and Dr. Brunn will probably become Chinese citizens in the legal sense before this measure comes into effect, and both of them will have to take the examination for the license of medical practitioners.

This is where Sun Lien was a little surprised—Bruen's practice certificate expires in April every year for renewal, and now calling this call... It can't be that there is something wrong with Lao Bu's certificate, right?

Bruen, who was on the phone, saw Sun Lien's questioning gaze. He waved his hand to signal Sun Lien to wait a moment, and then continued to talk to the phone, "I can ask a higher-level manager for you, but I There is no way to give you any guarantees. Bernard, I will say this again - if you want to do something for this epidemic, all the volunteer teams will welcome you. But if you are going to participate as a doctor In the treatment... I really don't know what to do. If there is a way, then I will contact you again."

After hanging up the phone, Bruen scratched his head very anxiously, and then said to Sun Lien, "That...Director Sun..." He seemed very conflicted and a little embarrassed when he said this, but he still held back Looking at the psychological discomfort, he asked, "I have a friend who is in Yunhe now, and he wants to participate in clinical work."

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Dr. Xu is a second-generation Chinese American native of Anhui.After living in the United States for more than 30 years, he decided to take a temporary vacation this Spring Festival and return to China.He wanted to see what the hometown and country where his parents had lived in were like.

After visiting his hometown in Anhui, Dr. Bernard Xu originally planned to use Yunhe, his mother's hometown, as a second transit point, and go to Shanghai from Yunhe after the Spring Festival—he planned to visit a few of himself in Shanghai before Chinese classmates who had a good relationship in school, and then returned to the United States.

But this plan was completely disrupted by the epidemic.Because the mother's two younger sisters are still in Yunhe, Dr. Xu finally decided not to take the special evacuation plane of the US State Department, but stayed in Yunhe to take care of two "strange" aunts.

As the epidemic situation gradually improved, Bernard himself was a little bit impatient.The epidemic is still raging outside. As a doctor, he really can't accept that he can only sit at home and wait for the storm to pass.

I was staying at home, so I became anxious when I was anxious.However, Bernard found something worth noting on the Internet-he actually found a video on the Internet of a doctor who was at the first scene of the epidemic, scolding netizens for atrocities that would increase the risk of the epidemic spreading.

There is nothing wrong with the video itself, and Bernard agrees with Dr. Sun very much.But what really attracted him was the familiar face that flashed past at the end of the video.

Isn't this Brunn?Brian Fitzgerald, the guy who used to lift weights with himself in the training room!

Dr. Bernard, who graduated from Illinois State University, entered Hopkins Hospital after graduation. As a doctor whose research direction is oncology, he lived a good life in Hopkins.

Well, it's actually not that good.At least in terms of emotional life, Bernard was quite seriously injured.

In an effort to heal his emotional wounds, Bernard returned to his college hobby -- weightlifting.And here, he met Bruen.

Now that it is found that there are acquaintances among the doctors on the front line of Yunhe, it will be easy to handle.Bernard picked up the phone and began to ask Brunn's current contact information - no way, he and Brunn are "friends who practice weightlifting together".Since Bruen left Baltimore, he has cut contact with this friend.

The continuous phone tracking continued until this morning, and Bernard finally got Brunn's contact information from his friend's boss.Coincidentally, the boss of Bernard's Italian friend is also in China.

But it doesn't matter, Bernard dialed the string of numbers the moment he got the phone number.And after 15 seconds of prayer, he managed to hear Brunn's voice.

(End of this chapter)


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